Individual
MR. REINALDO EDUARDO BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
227 MADISON ST, GOUVERNEUR HOSPITAL, NEW YORK, NY 10002
(718) 378-0521
Mailing address
1134 E 165TH ST, APT # 3B, BRONX, NY 10459-2573
(718) 378-0521
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021018
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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